An adult in the expansion group applies for Medicaid on 10 February 2027 and cares for a six-year-old. Is the community engagement condition cleared?
- 42 CFR 435.554(a)A child 13 years of age or under who relies on another individual for care is a dependent child.
- 1396a(xx)(9)(A)(ii)(III)A parent, guardian, caretaker relative or family caregiver of a dependent child 13 years of age and under is a specified excluded individual.
- 1396a(xx)(9)(A)(ii)A specified excluded individual is not an applicable individual, so the condition is cleared without activity hours.
The condition is cleared through the exclusion. One condition of eligibility on example facts, not a Medicaid decision.
recorded run · example facts · CFR edition of 23 Oct 2026